MEDICARE: DR. MICHAEL K LURIE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	G44637	CA

General Provider Information

NPI Number	:	1285605501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL K LURIE MD

Provider Business Mailing Address
First Line	:	100 WILSON RD
Second Line	:	SUITE 100
City	:	MONTEREY
State	:	CA
Zip	:	93940
Country	:	US
Telephone Number	:	831-649-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 UPPER RAGSDALE DR
Second Line	:	B230
City	:	MONTEREY
State	:	CA
Zip	:	93940-5736
Country	:	US
Telephone Number	:	831-649-0808
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	05/11/2011

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